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1205421229
JACOB RUNDALL
PHOENIX, AZ
NPI
1205421229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AZ LCSW-21992)
Enumeration Date
2021-03-02
Last Update Date
2024-09-03
Business Address
JACOB RUNDALL LCSW
3231 W SHANGRI LA RD
PHOENIX, AZ 85029-4151
Phone number: 563-639-4787
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Mailing Address
JACOB RUNDALL LCSW
3231 W SHANGRI LA RD
PHOENIX, AZ 85029-4151
Phone number: 636-394-7875
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